Kara Scarbrough, LCSW, MD, LCSW-C

Kara Scarbrough is a licensed clinical social worker who helps people manage stress, anxiety, grief, low self-esteem, depression, and big life changes. She encourages practical steps and steady progress so clients can feel more in control. Her tone is warm and straightforward, aimed at people who may be nervous about starting therapy.

Kara creates a calm space where thoughts and feelings are invited, not judged. She uses Cognitive Behavioral Therapy to help people spot unhelpful thinking and try different responses. She also draws on Client-Centered Therapy to keep sessions focused on each person's priorities and pace.

With eight years of experience, Kara mixes skill with a down-to-earth approach. Sessions are conversational and goal-oriented, with simple tools to try between meetings. Clients can expect clear feedback and small, manageable steps forward.

She pays special attention to caregiver stress, loneliness and isolation, social anxiety, and women's issues alongside core concerns like grief and self-love. Kara aims to help people rebuild confidence and find better ways to cope with everyday pressure.

Therapy with her typically includes setting practical goals, practicing new ways of thinking, and checking progress together. The focus is on what is useful now, with room to address deeper issues over time.

How Kara’s approaches work online

Kara uses Cognitive Behavioral Therapy to help people identify unhelpful thoughts and try concrete behavior changes. CBT sessions often include small exercises, thought records, and practice between meetings to reduce anxiety and improve mood.

She also draws on Client-Centered Therapy, which emphasizes listening, understanding, and following the client's pace. That approach helps people feel heard and guides the therapist to focus on what matters most to the individual.

Finding the best approach is a collaborative process. Kara will talk with each person about goals, preferences, and what they find most helpful. Together they adapt methods so work in therapy fits the person's life and needs.

Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to provide flexibility. Video is useful for full conversations and visual cues, phone works well when bandwidth is limited, live chat is good for shorter check-ins, and messaging lets people reflect and respond on their own time. These options make it easier to schedule therapy around work, caregiving, or busy days while keeping the focus on steady progress.